Office of Research IT (ORIT) Service Request
ORIT Service Request
Request for Consultation/Service
Required fields
PI first name
*
PI last name
PI email
PI phone
Department
Please Select
Anesthesiology
Biochemistry & Molecular Biology
Dermatology
Family Medicine
Medicine
Molecular & Human Genetics
Integrative Physiology
Molecular Virology and Microbiology
Molecular & Cellular Biology
Neurology
Neuroscience
Neurosurgery
Obstetrics & Gynecology
Ophthalmology
Orthopedic Surgery
Otolaryngology - Head & Neck Surgery
Pathology
Pediatrics
Pharmacology
Physical Medicine and Rehabilitation
Psychiatry & Behavioral Sciences
Radiology
Surgery
Urology
Texas Children's Hospital
TCH Anesthesiology
TCH Dermatology
Other
Division/Section
Please Select
If other, please specify
Please check if the admin contact is the same as PI
Admin first name
Admin last name
Admin email
Admin phone
Project title
Service(s) Requested
Center for Research Advancement (CRA)
Full Clinical Trial Support (includes regulatory support, research nursing/coordination, data management, clinical trial cost assessment and budget negotiations, investigational pharmacy)
Research Grant Budget/Grant Application Assistance (Pediatrics Only)
Clinical Trial Cost Assessment and Budget Negotiation
Regulatory Affairs (Check all that apply):
BRAIN/IRB Application
Continues support until end of study
Start Up Only (then transfer to section)
IND
Continues support until end of study
Start Up Only (then transfer to section)
IDE
Continues support until end of study
Start Up Only (then transfer to section)
Research Nursing/Coordination
Data Management
CRA Study Design
QA/QC
Database Development/Research Information Technology
Dietary/Nutrition
Neurobehavioral Core
Medical Editing
Investigational Pharmacy Services (Texas Children's Hospital / Women's Pavilion Only)
Epidemiology and Biostatistics Center
Biostatistics
Chart Review and Case Series
Epidemiology Study Design
Bioinformatics Core
Bioinformatics
Scientific Editing
Scientific Editing by BioScience Writers
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